NPIMap

Organization Active NPI

USA Healthcare LTC LLC

  • Skilled Nursing Facility
  • Cullman, AL
National Provider Identifier
1962408310
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
10506 Issued in AL
Legal business name
USA HEALTHCARE LTC LLC
Practice address
401 Arnold St NE
Cullman, AL 35055-1919
Phone
(256) 739-4409
Fax
(256) 739-4878
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Hayes
Title
Administrator
Phone
(256) 739-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 10506 AL Primary

Addresses

Primary practice location

401 Arnold St NE
Cullman, AL 35055-1919

Mailing address

401 Arnold St NE
Cullman, AL 35055-1919
Phone (256) 739-4409

Other identifiers 2

IdentifierTypeStateIssuer
011223OtherALBCBS PROVIDER NUMBER
4758020SMedicaidAL

Other names 1

  • The Folsom Center for Rehabilitation and Healthcare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1962408310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ARNOLD ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551919",
            "telephone_number": "256-739-4409",
            "fax_number": "256-739-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 ARNOLD ST NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350551919",
            "telephone_number": "256-739-4409",
            "fax_number": "256-739-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA HEALTHCARE LTC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-739-4409"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AL",
            "license": "10506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "011223",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4758020S",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Folsom Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Folsom Center for Rehabilitation and Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.